모야모야병에서 두개절제술 시행 후 광배근 유리 피판술을 이용한 치료 1례 (A case of latissumus dorsi muscular free flap coverage in a patient with moyamoya disease)

서지정보

· 발행기관 : 대한두개저학회
· 수록지 정보 : 대한두개저학회지 / 6권 / 1호 / 19 ~ 21페이지
· 저자명 : 양성혁, 한상철, 김정태, 김연환

초록

Moyamoya disease is a cerebrovascular disease of unknown etiology, which leads to a narrowing or occlusion of both internal carotid arteries in the presence of an abnormal hemangiomatosis vascular network at the base of the brain. The efficacy of encephalo-myosynangiosis (EMS) using muscle free flap was evaluated for the treatment of ischemic cerebrovascular disease in adult patients. A 36-year-old man presented right side motor weakness and mental change. The neurological examination and image work up revealed intracranial hemorrhage with moyamoya disease. In this case, latissimus dorsi muscular free flap were used for increased perfusion of the ischemic cortical region by indirect anastomosis. Cerebral blood flow study disclosed postoperative improvement of perfusion reserve capacity in all sides. EMS using muscle free flap is a possible procedure in selected patients with impaired cerebral perfusion reserve capacity due to multiple stenosis or occlusion of cerebral arteries including moyamoya disease.

영어초록

Moyamoya disease is a cerebrovascular disease of unknown etiology, which leads to a narrowing or occlusion of both internal carotid arteries in the presence of an abnormal hemangiomatosis vascular network at the base of the brain. The efficacy of encephalo-myosynangiosis (EMS) using muscle free flap was evaluated for the treatment of ischemic cerebrovascular disease in adult patients. A 36-year-old man presented right side motor weakness and mental change. The neurological examination and image work up revealed intracranial hemorrhage with moyamoya disease. In this case, latissimus dorsi muscular free flap were used for increased perfusion of the ischemic cortical region by indirect anastomosis. Cerebral blood flow study disclosed postoperative improvement of perfusion reserve capacity in all sides. EMS using muscle free flap is a possible procedure in selected patients with impaired cerebral perfusion reserve capacity due to multiple stenosis or occlusion of cerebral arteries including moyamoya disease.

참고자료

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